Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $4.59 / $5.88	Professional		$3.13	$4.59	$5.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $14.20 / $14.20	Facility		$7.80	$14.20	$14.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.25 / $10.50	Professional		$7.24	$7.25	$10.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $5.49 / $17.53	Facility		$0.55	$5.49	$17.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $19.82	Facility		$4.84	$4.84	$19.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.63 / $10.78	Professional		$4.84	$8.63	$10.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $6.55 / $9.42	Facility		$2.25	$6.55	$9.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $9.83	Professional		$4.70	$4.70	$9.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $9.40 / $80.00	Facility		$2.25	$9.40	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.09 / $9.22	Professional		$3.22	$4.09	$9.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $50.00 / $65.00	Professional		$3.25	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $6.55 / $9.42	Facility		$2.25	$6.55	$9.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $9.83	Professional		$4.70	$4.70	$9.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.58 / $2.04	Professional		$1.03	$1.58	$2.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $15.12 / $80.00	Facility		$5.27	$15.12	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $6.37	Professional		$4.84	$4.84	$6.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $8.16	Professional		$8.16	$8.16	$8.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $8.16	Professional		$8.16	$8.16	$8.16
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.01 / $8.77	Professional		$2.65	$4.01	$8.77